How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,258.93 Median $9,772.37 Typical High $19,498.45 | Facility | None | $1,258.93 | $9,772.37 | $19,498.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $346.74 Median $363.08 Typical High $363.08 | Facility | 26 · Professional part | $346.74 | $363.08 | $363.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $912.01 Typical High $912.01 | Facility | TC · Technical part | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,202.26 Typical High $2,344.23 | Professional | None (both parts) | $1,122.02 | $1,202.26 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $489.78 | Professional | 26 · Professional part | $309.03 | $346.74 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $1,380.38 | Professional | TC · Technical part | $758.58 | $870.96 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $15,848.93 | Facility | None | $1,949.84 | $3,235.94 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,288.25 Typical High $2,454.71 | Professional | None (both parts) | $1,202.26 | $1,288.25 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $691.83 | Professional | 26 · Professional part | $295.12 | $346.74 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $954.99 Typical High $1,778.28 | Professional | TC · Technical part | $912.01 | $954.99 | $1,778.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,288.25 | $1,737.80 | $1,737.80 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $14,791.08 | Facility | None | $2,630.27 | $5,495.41 | $14,791.08 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,380.38 Typical High $3,019.95 | Professional | None (both parts) | $1,174.90 | $1,380.38 | $3,019.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $354.81 Typical High $831.76 | Professional | 26 · Professional part | $295.12 | $354.81 | $831.76 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,047.13 Typical High $2,187.76 | Professional | TC · Technical part | $870.96 | $1,047.13 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,073.80 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,073.80 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $3,162.28 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $398.11 Typical High $812.83 | Professional | 26 · Professional part | $275.42 | $398.11 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,071.52 Typical High $2,398.83 | Professional | TC · Technical part | $741.31 | $1,071.52 | $2,398.83 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $912.01 Typical High $954.99 | Professional | 54 · Surgery only | $776.25 | $912.01 | $954.99 |
Where New Jersey sits
The same service costs 4.0 times more in Wisconsin than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 22nd of 51
$1,862
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.